某市社区冠心病患者智谋水平现状及影响因素分析

Current status and influencing factors of the resourcefulness level of patients with coronary heart disease in an urban community

目的 调查某市社区冠心病患者智谋水平现状并分析其影响因素,为制定患者智谋训练方案提供依据.方法 采用便利抽样法于2017年3—9月选取广东省韶关市4所社区服务中心共311例社区冠心病患者,采用一般资料量表和智谋量表进行问卷调查.采用Epidata 3.1软件及SPSS 24.0软件进行统计学分析.结果 311例社区冠心病患者智谋得分为（71.23±15.02）分,其中个人智谋得分（41.06±10.40）分,社会智谋得分（30.14±5.60）分.多元回归分析显示,年龄、教育程度、个人月收入、患病年限、合并慢性病数量是冠心病患者智谋水平的影响因素（P〈0.01）.结论 社区冠心病患者智谋处于中等水平,社区医护人员应重点关注老年、教育层次低、低收入、患病时间长及合并慢性病数量多的患者.

Objective To investigate the current status of the resourcefulness level of patients with coronary heart disease （CHD） in an urban community, to analyze its influencing factors and to offer a basis for making resourcefulness training plans for patients. Methods Totally 311 CHD patients from 4 community service centers in Shaoguan, Guangdong Province between March and September 2017, were selected by convenient sampling, and investigated with the General Information Questionnaire and Resourcefulness Scale. And statistical analysis was conducted with Epidata 3.1 and SPSS 24.0. Results The resourcefulness score of the 311 CHD patients was （71.23±15.02）, including （41.06 ± 10.40） for personal resourcefulness and （30.14± 5.60） for social resourcefulness. According to the multivariate regression ana[ysis, age, educational level, personal monthly income, length of illness and the number of complicated chronic diseases were the major influencing factors of resourcefulness level of CHD patients （P 〈 0.01）. Conclusions The resourcefulness of community CHD patients is at a medium level. Community medical and nursing staff shall focus on the patients with old age, low educational level, low income, longer illness and more complicated chronic diseases.